HomeMy WebLinkAboutMOUNTAIN CONSTRUCTORS - INSURANCE CERTIFICATE (4)ACORD
PRODUCER
CROSSROADS INSURANCE
P.O. BOX 1010
AULT, CO 80610
(970) 834-1337 FAX: 834-1393
INSURED
MOUNTAIN CONSTRUCTORS, INC.
P.O. BOX 405
PLATTEVILLE, CO 80651-0405
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�DATE IMM/DD/VYI
08/21/03
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES
COMPANY
A PINNACOL
COMPANY
B
COMPANY
C
COMPANY
D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LTR DATE IMM/DD/YY) DATE (MM/DDfYY) LIMITS
GENERAL LIABILITY GENERAL AGGREGATE S
,F COMMERCIAL GENERAL UABILITV PRODUCTS - COMP/OP AGG $
_ CLAIMS MADE ❑OCCUR
___, PERSONAL & ADV INJURY $
OWNER'S &CONTRACTOR'S PROT N/A EACH OCCURRENCE $
FIRE DAMAGE (Any one fire) $
MEO EXP (Any one person) S
AUTOMOBILE LIABILITY
I,
ANY AUTO
COMBINED SINGLE LIMIT
$
ALL OWNED AUTOS
-
BODILY INJURY
$
SCHEDULED AUTOS
(Per person)
HIRED AUTOS N/A
BODILY INJURY
S
NON OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
$
_.GARAGE LIABILITY I
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
ANY AUTO
EACH ACCIDENT
$
N/A
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
I UMBRELLA FORM
Ali
N/A
S
AGGREGATE
OTHER THAN UMBRELLA FORM
S
WORKERS COMPENSATION AND
DAY LIM TS' X TER
EMPLOYERS' LIABILITY
$1, 0 0 0 000
EL EACH ACCIDENT
A THE PROPRIETOR/ INCL
3027994
07/01/02
07/01/03
EL DISEASE - POLICY LIMIT$1,
000, 00.0
PARTNERS/EXECUTIVE
%OFFICERS ARE: X EXCL1
3027994
07/01/03
07 01/04
EL DISEASE - EA EMPLOYEE 1
$1, 000, 000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
CONTRACTOR
PROJECT: NORTH COLLEGE AVE & JEFFERSON ST/RIVERSIDE AVE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF FORT COLLINS EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
300 LAPORTE AVENUE 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
FORT COLLINS, CO 80522 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED APPRiS5NTATIVE '
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